Treatment of kidney stone disease depends on stone size. If still relatively small, a kidney stone can still get out through the urinary tract without surgery must be done. The doctor will usually recommend that the patient perform the treatment proper precautions, namely by drinking enough water every day. With the flow of the fluid continuously, it is expected kidney stones that are small can be pushed out by itself.
If water alone is considered not enough, the doctor will likely prescribe medication to help launch expenses of kidney stones, for example the drug alpha inhibitors. This drug helps make the the muscles of the ureter relax so that kidney stones could be out without causing the pain and the pace is relatively quick.
If symptoms are felt the patient was quite disturbing, usually doctors simply prescribe pain medication, such as paracetamol, ibuprofen and anti-inflammatory drugs non-steroidal. In addition to the painkillers, the doctor will also give antiemetic drugs to handle the symptoms of nausea and vomiting.
The doctor will usually refer the patient to the hospital if your kidney stone disease is already causing severe pain. It is necessary especially if the patient has other conditions (for example being pregnant, vomiting to cause dehydration, aged over 60 years, and has only one kidney). In addition, the doctor will also typically refer the patient to the hospital if symptoms get worse despite being given pain medication.
Treatment of kidney stones with surgery
Treatment of kidney stones with a new operation will be applied if the stone is large-sized (roughly the diameter of 0.6 centimeters or more) so that clog the urinary tract of the patient. The type of handling will depend on the location and size of the stone. Procedures to handle large kidney stones are:
- Extracorporeal surprise wave lithotripsy (ESWL), namely the procedure for destruction of kidney stones by using high frequency sound waves (ultrasound). The stone is crushed so that the splinters-splinters can get out easily.
- Ureteroscopy, which is a procedure kidney stone removal by using a tool called ureteroskop which is inserted into the ureter through the urethra and bladder. The urethra is the last channel for the discharge of urine from the bladder to outside the body.. After not only well known, the stone will be destroyed by using another instrument or laser. Ureteroscopy is usually performed to treat stone stuck in ureter.
- Open surgical procedures. In the age of contemporary as now, the procedure is actually relatively rare and only performed to remove kidney stones that are very large in size. As the name implies, open surgery is performed by creating an incision on the surface of the skin on the back that serves as access for the surgeon in lifting the kidney stones.
- Percutaneous nephrolithotomy or abbreviated as PCNL, namely the procedure for destruction of kidney stones. A small incision is made above the surface of the skin near the kidneys so that the instrument called a nephroscope can enter to solve and lifting flakes of kidney stones. This procedure is usually done if the actions of the ESWL does not allow to be done, for example in patients with obesity.
- Understanding
- Symptoms
- The cause of
- Diagnosis
- Complications
- Prevention
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